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Jody Kwachak Hall

NPI 1770963621 · on the registry since 2015 · sole proprietor

Practice

Address
1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150
Phone
(530) 573-7962
Organisation at this address
County Of El Dorado
El Dorado County Mental Health
El Dorado County Mental Health
El Dorado County Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
55

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YP2500X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California